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    <title>术前小结</title>
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            $bl.setupTextOnDbkey({姓名:病人.姓名,科别:病人.当前科室,病区:'-',床号:病人.床位号,住院号:病人.住院号});
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<div id="ZYBL_SQXJ" class="BLPage" bl_name="术前小结" style="display:block">
    <div align="center">
        <span id="sqxjL_YYMC" dbkey="医院名称" style="font-size:22pt">淮阴区丁集中心卫生院</span>
    </div>
    <div align="center">
        <span id="sqxjL_JLMC" style="font-size:20pt">术前小结</span>
    </div>
    <div><input onclick="" type="button"  value="显示预览"/></div>
    <div style=" margin-top:1em;">
        <span class="sp_label" style="width:3em; text-align:right">姓名:</span><input id="sqxjF_BRXM1" dbkey="姓名" readonly class="ip_field" oninput="on_input_auto_width(this)" style=" width:5em;"/>
        <span class="sp_label" style="width:3em; text-align:right">科别:</span><input id="sqxjF_DQKS" dbkey="科别" readonly  class="ip_field"   style="width:9em"/>
        <span class="sp_label" style="width:3em; text-align:right">病区:</span><input id="sqxjF_DQBQ" dbkey="病区" readonly  class="ip_field"   style="width:3.5em"/>
        <span class="sp_label" style="width:3em; text-align:right">床号:</span><input id="sqxjF_CWH" dbkey="床号" readonly  class="ip_field"   style="width:2.5em"/>
        <span class="sp_label" style="width:3.5em; text-align:right">住院号:</span><input id="sqxjF_BLH" dbkey="住院号" readonly class="ip_field"  style="width:5em"/>
    </div>
    <hr/>
    <div style="position:relative; width:100%">
    	<textarea id="sqxjF_BLZY" class="ta_field" dbkey="病历摘要" placeholder="病历摘要"  rows="1" style="width:100%; text-indent:5em;"></textarea>
        <div class="abs_label">病历摘要:</div>
    </div>
    <div style="position:relative; width:100%">
    	<textarea id="sqxjF_SSQZD" class="ta_field" dbkey="手术前诊断" placeholder="手术前诊断"  rows="1" style="width:100%; text-indent:6em;"></textarea>
        <div class="abs_label">手术前诊断:</div>
    </div>
    <div style="position:relative; width:100%">
    	<textarea id="sqxjF_ZDYJJSSZZ" class="ta_field" dbkey="诊断依据及手术指征" placeholder="诊断依据及手术指征" type="text" rows="1" style="width:100%; text-indent:10em;"></textarea>
        <div class="abs_label">诊断依据及手术指征:</div>
    </div>
  <table width="100%">
    	<tr>
        	<td width="14%" align="left" valign="middle">
            	<span class="sp_label">拟手术名称:</span>
            </td>
            <td width="47%">
                <textarea id="sqxjF_NSSMC" class="ta_field" rows="1" style="width:100%" dbkey="拟手术名称" placeholder="拟手术名称"></textarea>
            </td>
            <td width="14%" align="right" valign="middle">
            	<span class="sp_label">拟定手术者:</span>
            </td>
            <td width="25%">
            	<input id="sqxjF_NDSSZ" class="ip_field" placeholder="拟定手术者" dbkey="拟定手术者" type="text" />
            </td>
        </tr>
    </table>
    <div>
    	<span class="sp_label">麻醉科会诊意见及拟行麻醉方法：</span>
        <input id="sqxjF_NXMZFF" class="ip_field" type="text" dbkey="麻醉科会诊意见及拟行麻醉方法" placeholder="麻醉科会诊意见及拟行麻醉方法" style="width:25em" />
    </div>
    <hr />
    <table width="100%" style=" border-collapse:collapse;">
    	<tr style="border-bottom:thin solid #000;">
        	<td><span class="sp_label">术前准备：</span></td>
        </tr>
    	<tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">1、有关实验室检查：①Hb:</span>
            <input id="sqxjF_XHDB" class="ip_field" dbkey="血红蛋白" placeholder="Hb" type="text" style="width:2em; text-align:center" />
            <span class="sp_label">g/L;　②血型：</span>
            <input id="sqxjF_ABOXX" class="ip_field" type="text" dbkey="ABO血型" placeholder="血型" style="width:2em; text-align:center" />
            <span class="sp_label">;　保留血清:</span>
            <input id="sqxjF_BLXQ" class="ip_field" type="text" dbkey="保留血清" placeholder="血清" style="width:2em; text-align:center" />
            <span class="sp_label">;</span>
            </td>
        </tr>  
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">③出血时间:</span>
            <input id="sqxjF_CXSJ" class="ip_field" type="text" dbkey="出血时间" placeholder="出血时间" style="width:4em; text-align:center" />
            <span class="sp_label">;　④凝血时间:</span>
            <input id="sqxjF_NXSJ" class="ip_field" type="text" dbkey="凝血时间" placeholder="凝血时间" style="width:4em; text-align:center" />
            <span class="sp_label">, ⑤凝血酶原时间:</span>
            <input id="sqxjF_NXMYSJ" class="ip_field" type="text" dbkey="凝血酶原时间" placeholder="凝血酶原时间" style="width:4em; text-align:left" />
            </td>
        </tr>  
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">⑥肝功:</span>
            <input id="sqxjF_ALT" class="ip_field" type="text" dbkey="ALT" placeholder="ALT" style="width:2.5em; text-align:center"/>
            <span class="sp_label">U/L, ALP:</span>
            <input id="sqxjF_ALP" class="ip_field" type="text" dbkey="ALP" placeholder="ALP" style="width:2.5em; text-align:center"/>
            <span class="sp_label">U/L, r-GT:</span>
            <input id="sqxjF_R_GT" class="ip_field" type="text" dbkey="r-GT" placeholder="r-GT" style="width:2.5em; text-align:center"/>
            <span class="sp_label">U/L, TSB:</span>
            <input id="sqxjF_TSB" class="ip_field" type="text" dbkey="TSB" placeholder="TSB" style="width:2.5em; text-align:center"/>
            <span class="sp_label">, TP:</span>
            <input id="sqxjF_TP" class="ip_field" type="text" dbkey="TP" placeholder="TP" style="width:2.5em; text-align:center"/>
            <span class="sp_label">g/L, ALB:</span>
            <input id="sqxjF_ALB" class="ip_field" type="text" dbkey="ALB" placeholder="ALB" style="width:2.5em; text-align:center"/>
            <span class="sp_label">g/L,</span>
            </td>
        </tr>    
		<tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">　CHE:</span>
            <input id="sqxjF_CHE" class="ip_field" type="text" dbkey="CHE" placeholder="CHE" style="width:3em; text-align:center"/>
            <span class="sp_label">U/L, TCH:</span>
            <input id="sqxjF_TCH" class="ip_field" type="text" dbkey="TCH" placeholder="TCH" style="width:2.5em; text-align:center"/>
            <span class="sp_label">mmol/L, HBsAg:</span>
            <input id="sqxjF_HBSAG" class="ip_field" type="text" dbkey="HBsAg" placeholder="HBsAg" style="width:3em; text-align:center"/>
            </td>
        </tr>    
		<tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">⑦肾功:</span>
            <input id="sqxjF_BUN" class="ip_field" type="text" dbkey="BUN" placeholder="BUN" style="width:3em; text-align:center"/>
            <span class="sp_label">mmol/L, Cr:</span>
            <input id="sqxjF_CR" class="ip_field" type="text" dbkey="Cr" placeholder="Cr" style="width:3em; text-align:center"/>
            <span class="sp_label">umol/L</span>
            </td>
        </tr>  
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">⑧其他:</span>
            <input id="sqxjF_QT" class="ip_field" type="text" dbkey="其他" placeholder="其他" style="width:24em; text-align:left"/>
            
            </td>
        </tr>  
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">2、青霉素皮试:</span>
            <input id="sqxjF_QMSPS" class="ip_field" type="text" dbkey="PG皮试" placeholder="PG皮试" style="width:4em; text-align:left"/>
            
            </td>
        </tr>  
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">3、术前讨论:</span>
            <input id="sqxjF_SQTL" class="ip_field" type="text" dbkey="术前讨论" placeholder="术前讨论" style="width:4em; text-align:left"/>
            <span class="sp_label">；新、重大、致残手术有否审批:</span>
            <input id="sqxjF_SSSP" class="ip_field" type="text" dbkey="手术审批" placeholder="手术审批" style="width:4em; text-align:left"/>
            <span class="sp_label">；</span>
            </td>
        </tr> 
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">4、手术议定书是否签订:</span>
            <input id="sqxjF_SSXYS" class="ip_field" type="text" dbkey="手术协议书" placeholder="协议书" style="width:4em; text-align:left"/>
            <span class="sp_label">；拟定手术时间:</span>
            <input id="sqxjF_NDSSRQ" class="ip_jedate" type="text" dbkey="手术日期" placeholder="手术日期" dateFmt="YYYY年MM月DD日 hh:mm" style="width:10.5em; text-align:left"/>
            </td>
        </tr> 
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">5、具体术前准备:①术前已输血</span>
            <input id="sqxjF_SQSX" class="ip_field" type="text" dbkey="术前输血" placeholder="术前输血" style="width:4em; text-align:center"/>
            <span class="sp_label">ml; ②术中备血</span>
            <input id="sqxjF_SZBX" class="ip_field" type="text" dbkey="术中备血" placeholder="术中备血" style="width:4em; text-align:left"/>
            <span class="sp_label">ml</span>
            </td>
        </tr> 
        <tr style="border-bottom:thin solid #000">
        	<td>
            <textarea id="sqxjF_SQZB" class="ta_field" rows="1" dbkey="术前准备" placeholder="请在此处输入术前准备" style="width:100%; border-bottom:0px none #000"></textarea>            
            </td>
        </tr> 
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">主治医师签名:</span>
            <input id="sqxjF_ZZYS" class="ip_field" type="text" dbkey="主治医师" placeholder="主治医师" style="width:5em; text-align:center"/>
            <span class="sp_label">　住院医师签名:</span>
            <input id="sqxjF_ZYYS" class="ip_field" type="text" dbkey="住院医师" placeholder="住院医师" style="width:5em; text-align:center"/>
            <span class="sp_label">　　　</span>
            <input id="sqxjF_QMRQ" class="ip_jedate" type="text" dateFmt="YYYY年MM月DD日" dbkey="签名日期" placeholder="签名日期" style="width:8em; text-align:center"/>
            </td>
        </tr> 
        <tr style="border-bottom:thin solid #000">
        	<td>
            <span class="sp_label">手术审批意见:</span>
            <input id="sqxjF_SSSPYJ" class="ip_field" type="text" dbkey="审批意见" placeholder="审指意见" style="width:5em; text-align:center"/>
            <span class="sp_label">　　审批者签名:</span>
            <input id="sqxjF_SPZQM" class="ip_field" type="text" dbkey="审指者" placeholder="审批者" style="width:5em; text-align:center"/>
            <span class="sp_label">　　　</span>
            <input id="sqxjF_SPRQ" class="ip_jedate" type="text" dateFmt="YYYY年MM月DD日" dbkey="审批日期" placeholder="审批日期" style="width:8em; text-align:center"/>
            </td>
        </tr>    
    </table>
    
</div>
<!-- 术前小结-结束 -->
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